-
psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patient-safety
January 12, 2022 - Commentary
Learning and mindfulness: improving perioperative patient safety.
Citation Text:
Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J. 2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006.
Copy Citation
Format:
DOI Googl…
-
psnet.ahrq.gov/issue/experience-learning-everyday-work-daily-safety-huddles-multi-method-study
June 23, 2021 - Study
Experience of learning from everyday work in daily safety huddles: a multi-method study.
Citation Text:
Wahl K, Stenmarker M, Ros A. Experience of learning from everyday work in daily safety huddles—a multi-method study. BMC Health Serv Res. 2022;22(1):1101. doi:10.1186/s12913-022-…
-
psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective
April 06, 2022 - Study
Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study.
Citation Text:
Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observa…
-
psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality
January 11, 2023 - Review
Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement.
Citation Text:
Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(…
-
psnet.ahrq.gov/issue/what-defines-high-performing-health-system-systematic-review
August 17, 2022 - Review
What defines a high-performing health system: a systematic review.
Citation Text:
Ahluwalia SC, Damberg CL, Silverman M, et al. What Defines a High-Performing Health Care Delivery System: A Systematic Review. Jt Comm J Qual Patient Saf. 2017;43(9):450-459. doi:10.1016/j.jcjq.2017.…
-
psnet.ahrq.gov/issue/linking-acknowledgement-action-closing-loop-non-urgent-clinically-significant-test-results
July 02, 2019 - Study
Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record.
Citation Text:
Dalal A, Pesterev BM, Eibensteiner K, et al. Linking acknowledgement to action: closing the loop on non-urgent, clinically signific…
-
psnet.ahrq.gov/node/33644/psn-pdf
December 01, 2006 - workplace rarely succumbs to the simplified assumptions social
scientists impose on it for empirical purposes
-
psnet.ahrq.gov/node/49600/psn-pdf
April 01, 2010 - Pharmacies can rescan these into the pharmacy system for documentation purposes,
but they must still
-
psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - Medication Safety Events Related to Diagnostic Imaging
July 8, 2022
Sanchez L, Porras H, Lammers C. Medication Safety Events Related to Diagnostic Imaging. PSNet
[internet]. 2022.
https://psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
The Cases
Case #1: A 42-year-old woman admitted with…
-
psnet.ahrq.gov/issue/patient-factors-associated-new-prescribing-potentially-inappropriate-medications-multimorbid
August 18, 2021 - Study
Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications.
Citation Text:
Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially inappropriate medi…
-
psnet.ahrq.gov/issue/operating-room-fires
March 14, 2022 - Review
Emerging Classic
Operating room fires.
Citation Text:
Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX…
-
psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children
March 14, 2022 - Commentary
Preventing health care–associated harm in children.
Citation Text:
Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX …
-
psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event
February 02, 2022 - Commentary
Is excessive resource utilization an adverse event?
Citation Text:
Zapata JA, Lai AR, Moriates C. Is Excessive Resource Utilization an Adverse Event? JAMA. 2017;317(8):849-850. doi:10.1001/jama.2017.0698.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX End…
-
psnet.ahrq.gov/issue/world-health-organization-5-moments-hand-hygiene-scientific-foundation
October 19, 2022 - Commentary
The World Health Organization '5 moments of hand hygiene': the scientific foundation.
Citation Text:
Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0…
-
psnet.ahrq.gov/issue/national-survey-safe-practice-epidural-analgesia-obstetric-units
July 28, 2021 - Study
A national survey of safe practice with epidural analgesia in obstetric units.
Citation Text:
Jones R, Swales HA, Lyons GR. A national survey of safe practice with epidural analgesia in obstetric units. Anaesthesia. 2008;63(5):516-9. doi:10.1111/j.1365-2044.2007.05398.x.
Copy C…
-
psnet.ahrq.gov/issue/hidden-plain-sight-reconsidering-use-race-correction-clinical-algorithms
September 23, 2020 - Commentary
Classic
Hidden in plain sight — reconsidering the use of race correction in clinical algorithms.
Citation Text:
Vyas DA, Eisenstein LG, Jones DS. Hidden in plain sight — reconsidering the use of race correction in clinical algorithms. N Engl J Med. 20…
-
psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
August 04, 2021 - Commentary
Classic
Continuous improvement as an ideal in health care.
Citation Text:
Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XM…
-
psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-improvement-healthcare-systematic-review
September 23, 2020 - Review
Impact of hospital accreditation on quality improvement in healthcare: a systematic review.
Citation Text:
Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.137…
-
psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
November 15, 2023 - Study
Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy.
Citation Text:
Battar S, Dickerson KRW, Sedgwick C, et al. Understand…
-
psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
February 24, 2016 - Newspaper/Magazine Article
Is an indication-based prescribing system in our future?
Citation Text:
Is an indication-based prescribing system in our future? ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5.
Copy Citation
Save
Save to your …